<%--
    Document   : index
    Created on : Sep 23, 2011, 2:47:34 PM
    Author     : oracle
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title>LOAN TESTING</title>
    </head>
    <body>
        <font color="blue">${message}</font>
        <form name="form1" action="GeneralServlet">
            <table>
                <tr>
                    <td>Last Name:</td>
                    <td><input type="text" name="lastName"/></td>
                </tr>
                <tr>
                    <td>Second Last Name:</td>
                    <td><input type="text" name="secondLastName"/></td>
                </tr>
                <tr>
                    <td>First Name:</td>
                    <td><input type="text" name="firstName"/></td>
                </tr>
                <tr>
                    <td>Middle Name:</td>
                    <td><input type="text" name="middleName"/></td>
                </tr>
                <tr>
                    <td>Gender:</td>
                    <td>
                        <select name="gender">
                            <option value="M">Male</option>
                            <option value="F">Female</option>
                        </select>
                    </td>
                </tr>
                <tr>
                    <td>Status:</td>
                    <td>
                        <select name="status">
                            <option value="1">SINGLE</option>
                            <option value="2">MARRIED</option>
                            <option value="6">COHABITATION</option>
                            <option value="3">DIVORCED</option>
                            <option value="9">UNKNOWN</option>
                            <option value="5">FREE UNION</option>

                            <option value="4">WIDOWED</option>
                        </select>
                    </td>
                </tr>
                <tr>
                    <td>House:</td>
                    <td>
                        <select name="house">
                            <option value="P">HOUSE</option>
                            <option value="A">APARTMENT</option>
                            <option value="F">UNKNOWN</option>
                        </select>

                    </td>
                </tr>
                <tr>
                    <td>Nationality:</td>
                    <td>
                        <select name="nationality">
                            <option value="EC">ECUADOR</option>
                            <option value="CO">COLOMBIA</option>
                            <option value="VE">VENEZUELA</option>
                            <option value="AF">AFGANISTAN</option>
                        </select>
                    </td>
                </tr>
                <tr>
                    <td>Income:</td>
                    <td><input type="text" name="income"/></td>
                </tr>
                <tr>
                    <td>Child:</td>
                    <td>
                        <select name="child">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                        </select>
                    </td>
                </tr>
                <tr>
                    <td>Education:</td>
                    <td>
                        <select name="education">
                            <option value="3">TECHNICAL</option>
                            <option value="6">PHD</option>
                            <option value="0">NONE</option>
                            <option value="4">MASTER</option>
                            <option value="5">PROFESSIONAL</option>
                        </select>
                    </td>
                </tr>
                <tr>
                    <td>Work for government:</td>
                    <td>
                        <select name="government">
                            <option value="0">NO</option>
                            <option value="1">YES</option>
                        </select>
                    </td>
                </tr>
                <tr>
                    <td><input type="submit" name="save"/></td>
                    <td><input type="reset" name="clean"/></td>
                </tr>
            </table>
        </form>
    </body>
</html>